Page 2 - Enrollment Guide Example
P. 2
2016 Benefits Enrollment








Table of Contents




Your [20XX] Beneits Guide ......................2

Medical ....................................4

Prescription Drugs ............................8

HSA .......................................9

Dental ....................................10

Vision ....................................11

Life, AD&D, STD, and LTD Insurance ..............12

Contact Information ..........................14




Your [20XX] Benefits Guide




New Hire Enrollment

Welcome to our team! As an employee, you play a tremendous part in our
company’s success. This is why a core tenant of our business strategy is to
ensure you are offered an attractive and competitive beneits package. This
beneits guide provides detailed information about all of the health and welfare
beneits offered to you. As a new employee, you are eligible for coverage on
your [XX] day of employment. However, you must enroll in beneits within [XX]
days of your date of hire. If you do not enroll in beneits during your new hire
period, you will not be eligible to enroll in beneits until open enrollment or
unless you experience a qualifying life event.

Open Enrollment

Open enrollment is your annual opportunity to review your current beneits and
make beneit changes for the upcoming plan year. During open enrollment, you
can add, change, or decline coverage. In addition, you can add and/or drop
dependents during this time. Outside of open enrollment, you cannot change
your beneit elections during the middle of the plan year unless you experience
a qualifying life event.




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